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This article will explore the available accommodative technologies under these 3 headings including any limitations concerning lens excursion and accommodative amplitude and examine the potential impact of these IOLs on cataract and refractive surgeons and patients.

This is because accommodative IOLs can potentially provide unaided near visual acuity without the optical aberrations and image degradation that may accompany multifocal IOL implantation.The Sarfarazi Elliptical Accommodating IOL and the Visiogen Synchrony are examples of dual-optic lenses.Both of these IOLs utilize a positively powered biconvex front lens connected to a negatively powered concave-convex lens.The Human Optics 1CU is a hydrophilic, acrylic, foldable, single-piece lens with a biconvex square-edge optic and 4 modified flexible haptics that allow for forward movement of the optic during accommodative effort (Figure 1).

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In a similar study as that performed with the Morcher Bio Comfold IOL, median anterior movement of the Human Optics 1CU after pilocarpine 2% instillation was calculated to result in a refractive change of no more than 0.5 D in most patients 2004;115-1521).The eyeonics crystalens is a 10.5 mm, hinged plate haptic silicone lens with a 4.5 mm optic (Figure 2).

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